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DEATH
CERTIFICATE
CLAUDIA MILLER
Date 23 January 1912
Cert: # 2536
Name: Claudia MILLER
Female, White, Single
Age: 10 months, 20 days
Place of Death: Voting Precinct #3, Perry Co., KY
Birth Date: 20 March 1911
Occupation: None
Place of Birth: Dwarf, Ky.
Name of Father: Edward MILLER
Birthplace Father: Ky.
Maiden Name of Mother: Omah RICHIE
Birthplace Mother: Ky.
Informant: Edward Miller, Dwarf, Ky.
Death Date: 23 January 1912
Cause of Death: (?Pulitis?)
Signed: S. M. Richie, M.D.
Burial Place: Engle Cemetery
Date of Burial: 24 January 1912
Undertaker: S. B. Richie, Dwarf, Ky.
File Date: 23 January 1912
Transcribed by Debbie Tamborski, 03 December 2008 |
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